Provider Demographics
NPI:1437582392
Name:STEPHENS, JILL MARGARET (DNP, ARNP)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:MARGARET
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7350 SW 60TH AVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-6428
Mailing Address - Country:US
Mailing Address - Phone:352-854-5530
Mailing Address - Fax:352-854-5532
Practice Address - Street 1:7350 SW 60TH AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-6428
Practice Address - Country:US
Practice Address - Phone:352-854-5530
Practice Address - Fax:352-854-5532
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2841622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily